Home / Puerto Rico / Rio Piedras
Millennium Institute for Advance Nursing Care Inc
Calle Cosme Reparto San Lucas, Rio Piedras, PR 00926 · San Juan County · (787) 708-0138
35 certified beds, about 21 residents a day · For profit - Corporation · Medicare since 2015
CMS high performing icon Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
Not rated
CMS note: Not enough data available to calculate a star rating.
CMS Care Compare ratings, data as of September 1, 2026 · CCN 405030 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 11, 2026, inspectors cited 1 health deficiency (the Puerto Rico average is 7.3, the national average 9.2).
None of its 19 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.41 hours per resident per day, against 3.80 across Puerto Rico and 3.86 nationally. Registered nurses accounted for 3.66 of those hours.
45.8% of nursing staff left within the year CMS measured (Puerto Rico average 35.7%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1004/24
805/25
103/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 19 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
4E
10F
Potential for minimal harm
0A
0B
1C
March 11, 2026Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations of the Kitchen, review of policies procedures, daily kitchens temperature logs and facility staff interview performed on 03/10/2026 through 03/11/2026 from 8:00 AM through 4:00 PM, it was determined that the facility failed to comply with the required sink compartment sanitations and refrigerator temperatures. This deficient practice could affect 22 out of 22 residents admitted receiving care at the facility.
May 1, 2025Standard inspection · 8 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on staff interviews and documents reviewed, it was determined that the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis.
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on initial tour observation, resident interview, and policies reviewed (Recording food temperatures on the service line), it was determined that the facility failed to ensure that food and drink is palatable, attractive, and at a safe and appetizing temperature. This deficient practice was identified in 4 out of 15 residents receiving services (sample resident #55, # 203, #205 and #212).
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations of the Kitchen, review of policies procedures and facility staff interview performed on 04/29/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to comply with the required sink compartment sanitations. This deficient practice could affect 15 out of 15 residents admitted receiving care at the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations and medication drug pass performed during the survey process from 04/29/2025 through 05/01/2025 from 8:30 AM through 3:30 PM, it was determined that the facility failed to comply with accepted infection control precautions and standards of practice for hand washing during medication pass.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations of the physical environment, review of policies procedures and facility staff interview performed on 04/29/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to promote the resident right to receive services in a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect 15 out of 15 residents.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations of the physical environment and facility staff interview performed on 04/29/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. This deficient practice had the potential to affect 15 out of 15 residents.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on ten records reviewed (R.R) and resident interview performed from 04/29/2025 thru 05/01/2025, from 8:00 AM thru 3:30 PM, it was determined that the facility failed to develop and implement a complete baseline care plan within 48 hours of a resident's admission in order to promote the continuity of care and communication among nursing home staff, increase resident safety, and safeguard against adverse events that are most likely to occur right after admission; and to ensure the resident and representative, if applicable, are informed of the initial plan for delivery of all care and services required. This deficient practice was identified in 1 out of 12 records reviewed. (RR #203)
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on dining observations, review of the institutional menu and residents interview performed on 04/29/2025 through 05/01/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to ensure that each resident receives food that accommodates resident allergies, intolerances, and preferences. This deficiency was identified in 2 out of 8 residents of the sample selection (Residents #203 and #212).
April 16, 2024Standard inspection · 10 citations
- F Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observations and interview with the Administrative Dietitian (employee #6) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to provide sufficient support for personnel safely and effectively carry out the functions of the food and nutrition service. This deficient practice had the potential to affect 22 admitted residents.
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, and interview with the Administrative Dietitian (employee #6) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to provide food to residents in a manner that is attractive and maintain an appetizing temperature. This deficient practice had the potential to affect 22 out of 22 admitted residents.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations of the Kitchen, review of policies procedures and facility staff interview performed on 04/15/2024 to from 8:00 AM through 4:30 PM, it was determined that the facility failed to comply with the require sink compartment sanitations.
- F Keep all essential equipment working safely.
Inspectors wroteBased on observations with the Physical Plant Supervisor (employee #4) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to maintain equipment in a safe operating condition. This could affect 22 out of 22 residents and staff
- F Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations with the Physical Plant Supervisor (employee #4) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations of the physical environment, review of policies procedures and facility staff interview performed on 04/15/2024 through 04/16/2024 to from 8:00 AM through 5:00 PM, it was determined that the facility failed to promote the resident right to receive services in a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect 22 out of 22 residents.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of sixteen records reviewed (RR), resident interview and interview with the Nursing Supervisor (employee #2) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to ensure that a comprehensive assessment of resident, is performed when resident choose to self-administer treatment and medications. This deficient practice was identified in 2 out of 16 records reviewed (RR #62 and RR #69).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on a recertification survey, review of sixteen records reviewed (R.R), resident interview and interview with the Nursing Supervisor (employee #2) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to develop and implement a complete baseline care plan within 48 hours of a resident's admission in order to promote the continuity of care and communication among nursing home staff, increase resident safety, and safeguard against adverse events that are most likely to occur right after admission; and to ensure the resident and representative, if applicable, are informed of the initial plan for delivery of all care and services required. This deficient practice was identified in 1 out of 16 records reviewed. (RR #68)
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of sixteen records reviewed (R.R), resident interview and interview with the Nursing Supervisor (employee #2) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment related to did not individualized and review each plan of care. This deficient practice was identified in 1 out of 16 records reviewed. (RR #69).
- C Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations performed on 04/15/2024 till 04/16/2024 8:00 AM till 2:30 PM and interview with the infection preventionist (employee #7), it was identified that the facility failed to ensure that infection prevention practice is perform to residents. This deficient practice affects 22 out of 22 residents.
Fire safety inspections
19 fire safety citations on file: 3 on March 11, 2026, 4 on May 1, 2025, 12 on April 16, 2024.
Every fire safety citation19 citations
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Provide rooms that can be unlocked from inside without a key.
- E Have properly located and lighted "Exit" signs.
- E Ensure proper usage of power strips and extension cords.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- C Include a process for Emergency Preparedness collaboration.
- C Establish procedures for tracking staff and patients during an emergency.
- C Provide a means of sharing information on occupancy/needs.
- C Provide family notifications of emergency plan.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Puerto Rico | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.41 | 3.80 | 3.86 |
| Registered nurses | 3.66 | 3.01 | 0.69 |
| All nursing staff on weekends | 3.73 | 3.03 | 3.42 |
| Nurse aides | 0.00 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 45.8% | 35.7% | 45.8% |
| Registered nurse turnover | 42.1% | 35.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.67 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.69 on weekdays and 3.73 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 1.27 in April to June 2025 to 4.41 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.41 | 3.66 | 4.69 | 3.73 | 16.8% | 0 of 90 | 21 |
| Oct to Dec 2025 | 3.73 | 3.26 | 3.95 | 3.18 | 4.6% | 0 of 92 | 23 |
| Jul to Sep 2025 | 2.06 | 1.73 | 2.13 | 1.90 | 3.5% | 0 of 92 | 47 |
| Apr to Jun 2025 | 1.27 | 0.95 | 1.32 | 1.14 | 2.5% | 0 of 91 | 83 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Puerto Rico, Jan to Mar 2026 | 3.47 | 2.82 | 3.76 | 2.77 | 5.2% | 1.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Puerto Rico | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.1 | 0.3 | 1.6 |
Owners and operators
Legal business name: MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rodriguez, Juan | 5% or greater direct ownership interest | Individual | 100% | 12/20/2000 |
| Millennium Institute for Advance Nursing Care Inc. | Direct ownership interest | Organization | 01/01/2001 | |
| Ramirez-Pagan, Cindy | Corporate director | Individual | 10/01/2022 | |
| Millennium Institute for Advance Nursing Care Inc. | Operational/managerial control | Organization | 01/01/2001 | |
| Rodriguez, Ana | Operational/managerial control | Individual | 02/01/2019 | |
| Millennium Institute for Advance Nursing Care Inc. | Adp of the SNF | Organization | 01/01/2001 | |
| Ramirez-Pagan, Cindy | Adp of the SNF | Individual | 10/01/2002 | |
| Rodriguez, Ana | Adp of the SNF | Individual | 02/01/2019 | |
| Rodriguez, Juan | Adp of the SNF | Individual | 01/01/2001 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 7 problems in this area, most recently on March 11, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 3 problems in this area, most recently on May 1, 2025: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 1, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 1, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Centro De Cuidado Prolongado San Lucas Rio Piedras, 1.3 mi · 1 of 5 stars · 86 citations
- Multy Medical Skilled Nursing Facility Rio Piedras, 2.6 mi · 1 of 5 stars · 77 citations
- Alternative Healthcare Solutions LLC San Juan, 4.8 mi · 4 of 5 stars · 28 citations
- Ryder Memorial Hospital Inc Humacao, 21.7 mi · 3 of 5 stars · 41 citations
- Centro Medico Wilma N Vazquez SNF Vega Baja, 22.7 mi · 3 of 5 stars · 35 citations
Puerto Rico contacts for a concern about a nursing home
These are the official offices in Puerto Rico. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Departamento de Salud de Puerto Rico, Secretaria Auxiliar para la Regulacion de la Salud Publica (Division de Medicare), the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Programa Estatal del Procurador de Cuidado de Larga Duracion (Ombudsman CLD), Oficina del Procurador de las Personas de Edad Avanzada, (787) 721-6121. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Millennium Institute for Advance Nursing Care Inc's Medicare star rating?
- CMS rates Millennium Institute for Advance Nursing Care Inc 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and no for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Millennium Institute for Advance Nursing Care Inc get at its last inspection?
- 1 health deficiency at the standard inspection on March 11, 2026. The Puerto Rico average is 7.3.
- Has Millennium Institute for Advance Nursing Care Inc been fined?
- CMS lists no fines in the last three years.
- Does Millennium Institute for Advance Nursing Care Inc accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Millennium Institute for Advance Nursing Care Inc?
- CMS lists 9 owners and managers. Legal business name: MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.